Jordan, Mallorie
Jordan, Mallorie is an individual health care provider with primary practice located at 1905 S Topaz Way Ste 100 , Meridian ID 83642-4477. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jordan, Mallorie can be contacted via phone (208) 518-0870.Contact Information
Primary practice address
1905 S Topaz Way Ste 100
Meridian ID 83642-4477
Phone: (208) 518-0870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1891414041 |
|---|---|
| LBN Legal business name | Jordan, Mallorie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2022 |
| Last updated | Aug 23rd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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